NURS 661 EXAM SUCCESS: ESSENTIAL QUESTIONS AND ANSWERS FOR AN A+

NURS 661 EXAM SUCCESS: ESSENTIAL QUESTIONS AND ANSWERS FOR AN A+ Acting out (defense mechanism) emotional conflict is dealt with through actions rather than feelings (i.e., instead of talking about feeling neglected, a person will get into trouble to get attention). Denial (defense mechanism) - Refusing to acknowledge the existence of a real situation or the feelings associated with it. EX: A women drinks alcohol every day and cannot stop, failing to acknowledge that she has a problem. Hypochondria (defense) Exaggerating an illness arising from unacceptable feelings. Introjection: Defense Mechanism -a coping mechanism when we take on attributes of other people who seem better able to cope with the situation than we do. EX: Children integrate their parents value system into the process of conscience formation. EX: You get bullied, so you become a bully Isolation: Defense Mechanism - Separate a thought or memory from the feeling tone or emotion associated with it. EX: Without showing any emotion, a young women describes being attacked and raped. Retroflection The act of turning back onto ourselves something we would like to do (or have done) to someone else. EX: self-harm biting lips etc. reaction formation (defense mechanism) - Preventing unacceptable thoughts or behaviors from being expressed by exaggerating opposite thoughts or types of behaviors. EX: Jane hates nursing. She attended nursing school to please her parents. During career day, she speaks to prospective students about the excellence of nursing as a career. EX: smiling even though you dislike the situation Regression psychoanalytic defense mechanism in which an individual faced with anxiety retreats to earlier level of development EX: Bed wetting Repression (defense mechanism) - Involuntary blocking of unpleasant feelings and experiences from ones awareness. -Unconcious actions EX: An accident victim can remember nothing about the accident projection (defense mechanism) - Attributing feelings or impulses unacceptable to ones self to another person. EX: Sue feels a strong sexual attraction to her track coach and tells her friend, "Hes coming on to me!" EX: Paranoid delusions Undoing: Defense Mechanism - Symbolically negating or canceling out an experience that one finds intolerable. EX: Joe is nervous about his new job and yells at his wife. On his way home he stops and buys her flowers. Suppression: Defense Mechanism - The voluntary **CONSCIOUSLY* blocking of unpleasant feelings and experiences from ones awareness. EX: "I don't want to think about that now. I'll think about that tomorrow." sublimation (defense mechanism) channeling threatening devices into acceptable outlets (e.g. working out) sublet--outlet Somatization the expression of psychological distress through physical symptoms EX: instead of anger, gets a headache Splitting defense mechanism Inability to integrate negative & positive aspects of attributes of self or others. Black & white. Maladaptive. Ex: a woman tells her husband she loves him one day and hates him the next, even though nothing has changed to warrant this. Rationalization defense mechanism that offers self-justifying explanations in place of the real, more threatening, unconscious reasons for one's actions Displacement psychoanalytic defense mechanism that shifts sexual or aggressive impulses toward a more acceptable or less threatening object or person, as when redirecting anger toward a safer outlet EX: taking anger out on spouse rather than boss Dissociation a split in consciousness, which allows some thoughts and behaviors to occur simultaneously with others EX: Loss of time Intellectualization Defense Mechanism - An attempt to avoid expressing actual emotions associated with a stressful situation by using the intellectual process of logic, reasoning and analysis. Ex: woman explains in great detail all the positives of the new city where she is moving to assuage her anxiety about leaving a significant relationship